OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Notice of Issuance of Insurance Policy

OMB 1215-0059 · DOL/ESA.

OMB 1215-0059
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supplementary Document
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2007-01-19
Approved without change
 Extension without change of a currently approved collection 2003-12-17
Approved without change
 Extension without change of a currently approved collection 2001-02-05
Approved without change
 Extension without change of a currently approved collection 1998-01-14
Approved without change
 Revision of a currently approved collection 1994-10-17
Approved without change
 Revision of a currently approved collection 1991-11-15
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-08-03
Approved without change
 Extension without change of a currently approved collection 1989-04-06
Approved without change
 Revision of a currently approved collection 1986-05-02
Approved without change
 Revision of a currently approved collection 1983-05-26
Approved with change
 No material or nonsubstantive change to a currently approved collection 1982-06-30
Approved without change
 Revision of a currently approved collection 1978-08-17
Approved without change
 Extension without change of a currently approved collection 1978-06-29